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General NPI Number Information
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NPI Number | 1710006119
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Entity Type | Organization
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Legal Business Name | ADNAN H. TAHIR, MD
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2322 E 22ND ST SUITE 200
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City | CLEVELAND
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State | OH
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Zip | 44115-3176
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Country | US
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Telephone | 216-363-2556
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Fax | 216-363-2768
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Provider Business Mailing Address
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Address Line | 4758 RIDGE RD # 161
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City | CLEVELAND
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State | OH
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Zip | 44144-3327
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Country | US
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Telephone | 440-236-8484
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Fax | 440-236-8470
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Authorized Official
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Title or Position | OWNER
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Name | ADNAN H TAHIR
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Credential | MD
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Telephone | 216-363-2556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35-057864
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License Number State | OH
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